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Yoga with Aly - Teaching for Equity
Welcome to Yoga with Aly! Please fill out this registration form and accept the terms BEFORE joining!
Please feel free to email me with any questions or concerns!
Aly Slaughter (she/her), JD, RDN, RYT-500
alyslaughteryoga@gmail.com
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Email
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Your email
What is your first name?
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Your answer
What is your last name?
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Your answer
Do you have a preferred name?
Your answer
What are your pronouns?
Your answer
What is your birthdate?
Your answer
What is your phone number?
Your answer
What is your address?
Your answer
Are you a member of the blind/visually impaired/low vision community? I believe I have fixed it for you to pick multiple options! If not, please choose the one that most relates to you.
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Yes, I myself am blind/visually impaired/low vision
Yes, I work within the blindness community
Yes, I have friends/family who identify as members of the blindness community
Yes, I am interested in making yoga (and life) more equitable for the blindness community
No, I do not consider myself a member of this community
Required
Participants in these free classes are requested to participate in brief pre and post surveys about their experience. Your privacy will be protected and results may be used to help finance future endeavors in this programming. Are you willing to complete these surveys?
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Yes
No
Are you a veteran?
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Yes
No
Prefer not to disclose
Do you have any health concerns you would like for me to know about?
Your answer
Do you have any accessibility concerns you would like for me to know about?
Your answer
Do you have any other questions or concerns?
Your answer
Would you like to receive a weekly email from me (separate from this offering) with my donation based yoga schedule and link, as well as occasional health, wellness and lifestyle info?
Yes, please!
No, thank you.
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